Organization
SUNSHINE ADVANTAGE OF SC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM LICHTSCHEIN (MEMBER)
(347) 971-0039
Entity
Organization
Contact information
Practice address
1501 MAIN ST STE 501, COLUMBIA, SC 29201-5801
(347) 971-0039
Mailing address
395 ROUTE 70 STE 202, LAKEWOOD, NJ 08701-6161
(347) 971-0039
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
08/28/2024
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